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KETTMAN PRANGER FAMILY MEDICINE, PLLC
NPI 1902124175
Family Medicine in Waterloo, IA

Active since May 12, 2010
220 SOUTHBROOKE DR, WATERLOO, IA 50702(319) 236-7720(319) 236-7739 Get Directions Write a Review

NPPES record last updated: August 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kettman Pranger Family Medicine, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KETTMAN PRANGER FAMILY MEDICINE, PLLC (NPI 1902124175) is a healthcare organization registered as a family medicine in Waterloo, Iowa and active in the NPI registry since May 2010. The organization lists Matthew J Kettman, Owner, as its authorized official.

NPPES Registry Identity

NPI1902124175
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKETTMAN PRANGER FAMILY MEDICINE, PLLC
Location Address220 SOUTHBROOKE DRWaterloo, IA 50702-5802
Mailing AddressPo Box 658Waterloo, IA 50704-0658 · (319) 236-7720 · Fax (319) 236-7739
Phone(319) 236-7720
Fax(319) 236-7739
Organization SubpartNo
Authorized OfficialMatthew J KettmanOwner · (319) 236-7720
Enumeration DateMay 12, 2010
Last NPPES UpdateAugust 13, 2012
✔ NPI 1902124175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IA · 33683
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
220 SOUTHBROOKE DR, Waterloo, IA 50702
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Other Identifiers 1

Medicare PINIB1838IA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEAGAN SUE MENKEN ARNP
Nurse Practitioner (Family)
220 SOUTHBROOKE DR
WATERLOO, IA 50702
Black Hawk County (319) 236-7720
FIAT FAMILY MEDICINE
Family Medicine
220 SOUTHBROOKE DR
WATERLOO, IA 50702
Black Hawk County (319) 236-7751
GUIDING STAR CEDAR VALLEY
Clinic/Center (Family Planning, Non-Surgical)
220 SOUTHBROOKE DR
WATERLOO, IA 50702
Black Hawk County (319) 232-2695
KATIE I SCHMITZ LISW
Social Worker (Clinical)
220 SOUTHBROOKE DR
WATERLOO, IA 50702
Black Hawk County (319) 535-2588
ROBERT STEPHEN PRANGER MD
Family Medicine
220 SOUTHBROOKE DR
WATERLOO, IA 50702
Black Hawk County (319) 236-7751

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kettman Pranger Family Medicine, PLLC's NPI number?

The NPI number for Kettman Pranger Family Medicine, PLLC is 1902124175. It was assigned to this organization in the NPPES registry on May 12, 2010.

Where is Kettman Pranger Family Medicine, PLLC located?

Kettman Pranger Family Medicine, PLLC is located at 220 Southbrooke Dr, Waterloo, IA 50702. The listed phone number is (319) 236-7720.

What is Kettman Pranger Family Medicine, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kettman Pranger Family Medicine, PLLC was last updated on August 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.